I can't test this myself at the moment so i'm wondering if anyone else knows if it's possible.
Can you just ignore Preston in Concord at the start and still build settlements? I know there's some you can acquire by just clearing out the hostiles and then activating the workbench, then building a radio beacon.
Which brings me to my next question - without Preston to tell you to go help settlements and ally with them, is it at all possible to just kill the settlers there and acquire it that way? (working the same as clearing out 'hostiles')