Date Signature of Person Preparing the Request (if different than above) Name (print or type) Note: Additional pages may be used to complete answers Prepared for the Water Resources Commission by the Department of Conservation and Recreation, Office of Water Resources: August 2018. APPENDIX A Maximum Potential Insignificant Surface Water Transfers for Transfers Derived Primarily from Lakes, Ponds, Reservoirs or Other Impoundments To be Updated when the Massachusetts Drought Management Plan is Revised 1. Select the appropriate town(s) from the following list: MASSACHUSETTS TOWNS BY REGION CAPE COD REGION Barnstable Bourne Brewster Chatham Chilmark Dennis Eastham Edgartown Falmouth Gay Head Gosnold Harwich Mashpee Nantucket Oak Bluffs Orleans Provincetown Sandwich Tisbury Truro Wellfleet West Tisbury Yarmouth ISLANDS CENTRAL REGION Ashburnham Ashby Athol Auburn Barre Boylston Brookfield Charlton Douglas Dudley East Brookfield Fitchburg Gardner Grafton Hardwick Holden Hubbardston Leicester Leominster Lunenburg Millbury New Braintree North Brookfield Northbridge Oakham Oxford Paxton Petersham Phillipston Princeton Royalston Rutland Shrewsbury Southbridge Spencer Sterling Sturbridge Sutton Templeton Townsend Uxbridge Warren Webster West Boylston West Brookfield Westminster Winchendon Worcester CONNECTICUT RIVER REGION Agawam Amherst Ashfield Belchertown Bernardston Blandford Brimfield Buckland Charlemont Chester Chesterfield Chicopee Colrain Conway Cummington
Deerfield East Longmeadow Easthampton Erving Gill Goshen Granby Granville Greenfield Hadley Hampden Hatfield Hawley Heath Holland Holyoke Huntington Leverett Leyden Longmeadow Ludlow Middlefield Monroe Monson Montague Montgomery New Salem Northampton Northfield Orange Palmer Pelham Plainfield Rowe Russell Shelburne Shutesbury South Hadley Southampton Southwick Springfield Sunderland Tolland Wales Ware Warwick Wendell West Springfield Westfield Westhampton Whately Wilbraham Williamsburg Worthington NORTHEAST REGION Amesbury Andover Arlington Ashland Ayer Bedford Belmont Berlin Beverly Billerica Bolton Boston Boxborough Boxford Braintree Brookline Burlington Cambridge Canton Carlisle Chelmsford Chelsea Clinton Cohasset Concord Danvers Dedham Dover Dracut Dunstable Everett Framingham Georgetown Gloucester Groton Groveland Hamilton Harvard Haverhill Hingham Holbrook Hopkinton Hudson Hull Ipswich Lancaster Lawrence Lexington Lincoln Littleton Lowell Lynn Lynnfield Malden Manchester Marblehead Marlborough Maynard Medford Melrose Merrimac Methuen Middleton Milton Nahant Natick Needham Newbury Newburyport Newton North Andover North Reading Northborough Norwood Peabody Pepperell Quincy Randolph Reading Revere Rockport Rowley Salem Salisbury Saugus Scituate Shirley Somerville Southborough
Stoneham Stow Sudbury Swampscott Tewksbury Topsfield Tyngsborough Wakefield Waltham Watertown Wayland Wellesley Wenham West Newbury Westborough Westford Weston Westwood Weymouth Wilmington Winchester Winthrop Woburn SOUTHEAST REGION Abington Acushnet Attleboro Avon Bellingham Berkley Blackstone Bridgewater Brockton Carver Dartmouth Dighton Duxbury East Bridgewater Easton Fairhaven Fall River Foxborough Franklin Freetown Halifax Hanover Hanson Holliston Hopedale Kingston Lakeville Mansfield Marion Marshfield Mattapoisett Medfield Medway Mendon Middleborough Milford Millis Millville New Bedford Norfolk North Attleborough Norton Norwell Pembroke Plainville Plymouth Plympton Raynham Rehoboth Rochester Rockland Seekonk Sharon Sherborn Somerset Stoughton Swansea Taunton Upton Walpole Wareham West Bridgewater Westport Whitman Wrentham WESTERN REGION Adams Alford Becket Cheshire Clarksburg Dalton Egremont Florida Barrington Hancock Hinsdale Lanesborough Lee Monterey