I remember seeing something like this about 10 years ago in a B&B in England. A tiny ensuite had been crammed in to a bedroom and evidently the solution to getting the waste out was to use some sort of pump behind the toilet pan. The pipe leading out was tiny - I'd guess 40mm? It's a bit weird to flush the toilet and then hear a tinny little pump start whirring away. The system looked like it had been in place for some years though and I'd guess a toilet in a B&B would cop a fair bit of abuse from people flushing inappropriate items down and so on. I'd guess there would be some abuse of a different kind from eating dodgy curries and the like as well!
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