Sandy Island Boat Ramp is the northernmost public access to the Waccamaw River and the primary access point for residents of Sandy Island, a 9-square-mile island with no road access.

The ramp features loose aggregate surface in places and is fairly steep with limited landing space, making it better suited for smaller boats; a single fixed dock is available for launching and retrieving, while other slips are reserved for island residents.

Parking is available but primarily designated for residents, with trailer parking on the left side of the landing area—expect lighter crowds than nearby alternatives like Hagley Landing.