On October 13, 2000, the National Institute for Occupational Safety and Health (NIOSH) received a request from the Cabinet for Health Services in the Commonwealth of Kentucky to evaluate carbon monoxide (CO) concentrations associated with the operation of houseboats on Lake Cumberland.On October 23 -25, 2000, NIOSH investigators conducted a site visit at Lake Cumberland to investigate CO concentrations on houseboats located at the State dock, Jamestown dock, and Alligator II dock.This letter describes our evaluation methods, findings, and conclusions.