The history of the original water tower is somewhat vague. In The First 100 Years, the hospital’s historian Dr. Nightingale
mentions the problems constructing the original water tower owing to quicksand being discovered (in fact most of the hospital’s
building was marred by the original poor land choice). However, no such water tower appears on Kendall’s original plan, and
the area occupied by the structure is left completely open (as the Kitchen Courtyard). Additionally the water supply to the
hospital was referred to as a "surface supply" but this must’ve been pumped to a high elevation to create the required
pressure to push water around the asylum. As the asylum grew, this water tower was clearly inadequate and a second water tower was built near the Admissions Unit.
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