2. Limited Food Establishment Application

   The Limited Food Establishment (LFE) permit application must be submitted no later than 30 days prior to construction or commencing operation.

4. Please note:

   -No food preparation shall occur prior to receiving a permit from Craven County Health Department (CCHD).

   -LFE permits shall be issued only to political subdivisions of the State*, establishments operated by volunteers that prepare or serve food in conjunction with amateur athletic events, or operated by organizations that are exempt from federal income tax under sections 501(c)(3) or 501(c)(4) of the Internal Revenue Code. 

   -Documentation indicating your organizations qualifications to receive an LFE permit must be submitted with this application.

   -Limited food service establishments also includes lodging facilities that serve only reheated food that has already been pre-cooked.

   -All LFE permits shall expire __

   -A fee of $75 is requried for each LFE permit and must be paid within 2 business days of the submission date of each LFE application. Payments can be made in person at the Craven County Health Department or by phone at (252) 636-4936.

   *Political subdivisions of the state are local governments created by the states to help fulfill their obligations. Political subdivisions include counties, cities, towns, villages, and special districts such as school districts, water districts, park districts, and airport districts.

8. Section 1: Establishment Information
10. Facility Type:*
    -- Select One --Amateur Athletic EventLodging FacilityOther
11. If Other, please specify:

    (Please note: Only facilities that meet the pre-qualifications stated above will be evalusted for a LFE permit.)

13. Name of Establishment:*
15. Address of Establishment:*
17. City*
18. State*
19. Zip Code*
23. Section 2: Permittee & Operation Information
25. Name of Permittee:*
26. Phone #:*
28. Permitee Email:
30. Mailing Address*
32. City*
33. State*
34. Zip Code*
36. Name of Person In Charge:*
38. Dates of Operation:*

    *If you would rather upload a schedule, please type in "Uploaded Schedule" into the box.

39. Schedule Upload:

    Amateur Athletic Organizations - Attach a copy of all game schedules.

43. Section 3: Water Source & Waste Disposal
45. Source of water for LFE:*
    -- Select One --Public WaterOn-site private well (Requires testing by CCHD)Other
46. If other, please specify:
47. Waste water system for LFE:*
    -- Select One --Public SewageOn-site Septic System
51. Section 4: Employee Health Policy & Equipment
53. Please Note:

    As of September 1st, 2021, the vendor/permit holder shall require all food service employees to comply with an approved Employee Health Policy. If you do not have an approved Employee Health Policy, one can be acquired at Applications & Forms | Craven County (cravencountync.gov).

55. Has/Have the desisgnated Person in Charge of the LFE completed an ANSI-accredited, certified food protection managers' course?*
    -- Select One --YesNo
57. Attach a drawing of your food service area.*

    *Identify and describe all equipment including cooking, hot holding, and cold holding equipment, handwashing facilities, work tables, dishwashing facilities, single service article storage, garbage containers and customer service areas.

58. Additional Documents
59. Additional Documents
63. Section 5: Food Menu and Food Handling
65. Provide a complete list of all food/menu items in the box below.*

    *Please indicate if each item is Prepared in Advanced, Prepared at Event, or No preparation.

    -If you prefer to upload a menu, please type in the box: "Uploaded Menu".

67. Menu Upload
69. Will time be used to control food that is held out of temperature? *
    -- Select One --YesNo

    Such as pizza.

71. I certify that the information in this application is complete and accurate. I understand that:

    -Any changes to my operation must be submitted to the CCHD for review and written approval prior to commencing the changes.

73. Applicant Signature:*
74. Date:*
    Date:
76. Please Note:

    -A fee of $75 is requried for each LFE permit and must be paid within 2 business days of the submission date of each LFE application. Payments can be made in person at the Craven County Health Department or by phone at (252) 636-4936.

Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit

* indicates a required field