This document summarizes the key findings and recommendations from a research project on design methods for offshore wind turbines installed at exposed sites. The project involved detailed measurements and analysis of environmental conditions and structural loads on a turbine in the Blyth offshore wind farm. Key findings include: waves in shallow water require non-linear modeling; site-specific wave and wind data should be used; design tools were enhanced and validated; foundation models need to account for soil properties; hydrodynamic loading models were evaluated. Recommendations include: revising certification rules to specify wave modeling and extreme loads; developing standard machinery designs while customizing support structures; accounting for water depth and non-linear waves in design.