The West side of the campground is reserved for primitive tent campers with a few choice sites right on the water. These sites generally have tent platforms which is a good thing. On my recent trip there the ground was saturated and boggy. Not sure if that is normal or was just due to wet weather this spring. These platform sites are all hike-in, with a few of them located a good distance from the camp road. Each of these sites has its own outhouse. The one on my site was cleaned once or twice over the course of five days. There are other sites on the west side, not located on the water, but closer to your vehicle so you don't have to carry gear in and out. These sites are also close to water spigots. On the more developed side of the campground things are much as you would expect at a NYS campground. The sites are not especially private, but they come in all sizes. There is a beach with canoe rentals and swimming, an amphitheater, showers, a recycling center and a dump station. Wood and ice are also offered for sale. I'll take the quiet privacy of the west side, but there is plenty on offer for all different camping styles at Meacham Lake.