The construction itself absolutely alters local watersheds:
1. Replacing forests and fields with concrete buildings prevents rainwater from filtering into the soil, which stops local aquifers from recharging.
2. During storms the rain runs off impervious surfaces and can cause downstream flooding.
3. Heavy land grading washes loose sediment into nearby waterways, destroying aquatic habitats and turning private drinking wells muddy. (That especially gets local homeowners angry and gets lots of video views).
And then you have the ongoing operation of open cooling systems:
4. Evaporative cooling systems discharge concentrated mineral brine that spikes the salinity of freshwater ecosystems.
5. Cooling water is treated with toxic biocides and anti-scalants that can contaminate local water basins. It can also contain leached copper, zinc, and PFAS.
6. Discharging warm wastewater depletes oxygen in streams and alters the overall ecology.
Of course all of these issues could be mitigated to a reasonable degree with proper care and effort:
>this seems like it shouldn't happen if things are being done properly
Do you want to bet your whole town on things being done properly right now?