Sewer mains followed dense development, and a great deal of suburban east-metro housing went up on lots large enough for a tank and field. Gwinnett DWR cites Georgia DPH in saying the county has one of the heaviest concentrations of septic systems in the nation, with roughly 30 percent of residents using one (Gwinnett DWR).
That makes the question more common than people expect, especially at purchase time. Two houses on the same street can differ: one built after a main was extended, one built before and never tied in. DeKalb adopted a septic-to-sewer ordinance in 2017 because parts of the county still rely on older tanks that may eventually fail (DeKalb Code Div. 2.5).
If you are buying, ask for the bill history and the county septic file before closing. If you already own the house and nothing is written down, the county health department's records plus a probe for the tank lid will usually resolve it in one visit.