The Palo Verde Nuclear Generating Station where I work is 40 miles west of Phoenix with no lakes or rivers nearby (the Hassayampa River is within 5 miles, but it's dry). The cooling water for the plant comes from the 91st Avenue water treatment plant in Phoenix. It's piped about 35 miles to the plant, cleaned up, and supplied to the evaporative cooling towers. I think it's the only nuclear plant in the country that's not adjacent to a lake, a river, or the ocean.
Because of its desert location, the coolant is municipal sewage from Phoenix.