The West Branch of the Susquehanna River from Karthaus to Keating is a spectacular voyage by canoe. Some of the feeder streams are marked by name where the stream enters the river, which helps to orient paddlers. Sproul State Forest maintains a canoe access area south of the Karthaus Bridge on PA Route 879. Additional canoe access areas are found at North Bend, Hyner, the Flaming Foliage grounds along PA Route 120 in Renovo and Lock Haven. Several canoe rental businesses feature vehicle shuttles.