The standard practice in high-rise buildings is to pump water up to a reservoir on the roof. The water then descends through the building piping using gravitational force, creating high pressure that must be reduced for consumer use.
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The toilets of a castle were usually built into the walls so that they projected out on corbels and any waste fell below and into the castle moat. Even better, waste went directly into a river as is the case of the latrines of one of the large stone halls at Chepstow Castle in Wales, built from the 11th century CE.
On March 19, 1909, two water towers on top of Quincy Hill burst and released two million gallons of water, causing a sudden flood that claimed the lives of three nearby residents.