7 + Acres of Pamet River now available for sale in Truro, Cape Cod, MA, USA. The Pamet River is a 4.2-mile-long (6.8 km) river in Truro, Massachusetts on Cape Cod. It is named for the Paomet tribe. The river is primarily salt marsh, flows west nearly all the way across Cape Cod from its eastern beaches, and empties into Cape Cod Bay. It lies a few miles south of the Little Pamet River. Many potential uses for the site. Access / Abutting 16 Truro Center Road MLS Number 22203360. Come see the natural beauty of this property now! Swim, fish, hike on this beautiful natural resource. Own a piece of Cape Cod's Beautiful Landscape!