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That's been brought up and I'm already resigned to a macerator being necessary. Are they really that bad?
Alternative would be to move the ensuite location to the rear, but that compromises useful loft space more significantly. Maybe I could just get a urinal and continue to shit downstairs?
Also remember Aggi describing how he had some sort of 'step' which avoided a macerator but never got my head around that. I'm using the same people so might have a word in case that's a possibility.
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If you can avoid one then do. They become the item most likely to fail and cost you money over time. Also the item most likely to fail and flood your house with foul water. This is just based on the number of repairs I've been asked to make (I don't service or repair them anymore, it's too foul) and the number of hallway ceilings I've stain sealed and repainted. They're also noisy.
A lot of people who have had them in the past would never have them again.
Only thing I would add to this is the waste is a much bigger issue than the water supply. If having an en-suite means using a macerator for waste I would have second thoughts about the design.