I've been through there last couple of years and find that I can do it with my 5' draft. I have found that there is shoaling at the #4 mark on the western approach. According to local knowledge (owner of Tilghman Island Marina) you need to hug the R4 and you will be fine. I got pushed out by an approaching speeding powerboat and did run aground but was able to free myself (luckily). I was too far out from the mark.
Sailing out of Rock Creek, Chesapeake Bay
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