Discovering the names of various towns in Pennsylvania, are you? Add Climax and Middlesex to that list while you're at it. By the way, there's a lot of "Gaps" in PA so pick one.
Middlesex is named for a place in England. I was just struck by the weirdness of names in Lancaster County in particular, was reading a story set there. And people say we Aussies have weird place names.
The Middlesex reference was just in keeping with your theme. We know that the Brits have more than their share of perversions too.
As to Lancaster County and the east [King of Prussia is actually considered to be a northwest suburb of Philadelphia in Montgomery County, PA situated next to the Pennsylvania "Greenstamp" (Turnpike), have a friend that lives there] it's more of a German thing actually. That's Amish country, Pennsylvania Dutch (Deutsch).