There are marinas and repair facilities at the southwest end of Upper Matecumbe Key.
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Shell Key Channel and Race Channel, just to the northwestward of Upper Matecumbe Key, are used by small sport-fishing craft. These channels join to form Teatable Key Channel connecting the Intracoastal Waterway and Hawk Channel. Teatable Key Channel is crossed by two fixed bridges, one highway and one pedestrian, and an adjacent overhead pipeline with least clearances of 33 feet horizontal and 10 feet vertical. In 1983, the reported controlling depth was 8 feet from Hawk Channel to Florida Bay through Teatable Key Channel and Race Channel.