Thomas:
I would NOT drill another hole in the boat just to use a macerator pump. Pump the tank out through the existing thru hull. To do this, you need to add two more three way ball valves. One gets added to the existing thru hull, the other one gets added into the deck pumpout line. Here is a photo diagram:
ipyoa.com/photos/62-hayden/photo?albumid=237#photoid=3538
The idea is works as follows. The head can pump into the tank OR directly overboard. The macerator pump which is tied into the 3 way valve in the deck pump out line, allows it to empty the tank. We have run this system for 10 years now and it works well.
Hayden
Here are some new photos of this design just rebuilt by the factory on our boat:
IP35