Two reasons: hills and rock. On rolling Maury County ground, the best soil on a lot is often up the slope from where the house sits, so the only way to reach it is a pump. And much of the county is limestone karst, where the Tennessee Geological Survey maps sinkholes and shallow rock. Thin soil pushes lots toward LPP, mound, or drip fields, and every one of those needs a pump chamber for pressure dosing, even when the field is downhill.
If you're buying a home, pull the TDEC septic record rather than judging by the slope of the yard. A control panel with an alarm light, a second tank lid, or small capped pipes at the end of the field are clues. The permit tells you what the pump feeds.