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The Middle Island Creek access point near Alma in Tyler County provides boaters and paddlers with convenient entry to this northwestern West Virginia waterway. Located at the junction of Routes 18 and 74, this ramp serves as one of several access points along Middle Island Creek's course from West Union to the Ohio River. The site is well-positioned for both day trips and longer paddles, with other established access areas upstream (Josephs Mills, West Union City Park) and downstream (Blue launch) that allow for shuttle trips.
Middle Island Creek flows through the Appalachian Mountains and Allegheny Plateau region, offering paddlers a moderately-sized creek experience. This access point is particularly useful for kayakers and canoeists looking to explore the middle section of the creek or connect with the downstream Blue launch. As with most creek paddling in the area, water levels and flow conditions can vary seasonally, so paddlers should check current conditions before launching. The location near a major road junction makes it accessible and relatively easy to find.