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Board approves ADU and bedroom swap at 380 Mill Road on environmentally sensitive lot

Eastham Board of Health · August 3, 2026
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Summary

Cape Associates presented a plan to add a one-car garage with a small ADU above at 380 Mill Road; the board approved the plan on condition that the first-floor bedroom be decommissioned and the deed restriction be modified to reflect a 2-bedroom main house plus 1-bedroom ADU, with monitoring and inspections required.

The board reviewed a proposal at 380 Mill Road to add a 24-by-14 garage with an accessory dwelling unit above and to swap a first-floor bedroom for an ADU bedroom. John Filacci of Cape Associates told the board the property’s 2016 septic upgrade remains in effect and the occupancy will remain two people. "The addition is a 24 by 14," Filacci said, noting the ADU is intended for a family member rather than rental use.

Staff confirmed the property is in an environmentally sensitive area and reminded the board that the lot’s prior approvals require board review whenever the property changes. The board required a modified deed restriction to reflect the new configuration (2-bedroom main house and 1-bedroom ADU), submission of an operation and maintenance agreement, continued monitoring, and a walk-through inspection by the health department to confirm the first-floor bedroom has been decommissioned before an occupancy certificate is issued. The motion to approve passed by voice vote.

Why it matters: The modification preserves septic and occupancy balance on a sensitive lot while allowing family-oriented ADU space; the board used deed-recording and inspection requirements to maintain oversight.