
The Susquehanna River dominates the western edge of this landscape, its wide channel punctuated by a chain of major islands including Hill Island, Shelley Island, and Three Mile Island, where the Three Mile Island Nuclear Generating Station stands as a prominent industrial landmark. At the confluence of the river and Swatara Creek, the borough of Middletown serves as a dense urban hub, supported by the Conrail line and the adjacent Harrisburg International Airport.
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