We did the float yesterday from Indian Cave to Nances Ferry and the ramp was in fair shape, not good. If you are driving a Pickup with wide rear view mirrors, it not too hard. If you have an SUV, it can be tricky. It was a great trip and the river was on fire. Little River Outfitters finest made the fish live hard. The Caddis were coming off from the middle of the day onward. Take a look. http://smokymountainflyguide.com/reports%2029.htm
This was 1/2 of the trip. I'll post the 2nd half later.
By the way, You need a trolling motor for this trip.