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2. Temporary Food Establishment (TFE) Application

   This application must be completed and submitted ot the Craven County Health Department (CCHD) to provide information about all food preparation and sales to the public at any public event or exhibition within Craven County. Applications must be submitted no later than 15 days prior to the event. 

4. Please Note:

   A fee of $75.00 will be required for each food service permit and must be paid within 2 business days of the submission of each TFE application. 

   Payments can be made in person at the Craven County Health Department (Environmental Health Section) or by phone at (252) 636-4936.

8. Section 1: Applicant Information
10. Applicant Name:*
11. Applicant Phone #:*
12. Applicant Email Address:*
14. Applicant Mailing Address:*

    Street, City, State, Zip Code

18. Section 2: Event Information
20. Facility Type:*
    -- Select One --BoothMobile Food UnitPermanent BuildingPushcart
21. Name of Booth or Food Service Operation:*
23. Name of Event:*
24. Date of Event(s)*
    Date of Event(s) Start Date

    —

    Date of Event(s) End Date

    *If the event is only 1 day, select the same date for both entries.

26. Address of Event*

    Street, City, State, Zip Code

30. Section 3: Permitting Information

    Please Note: The food service operation (booth, cart, mobile food unit) must be completely set up prior to permitting and NO food preparation is allowed in the booth until the permit is issued.

32. Date and Time for Permitting:*
    Date and Time for Permitting:

    Date and Time for Permitting:
33. Will applicant prepare food prior to the event?*
    -- Select One --YesNo
35. If Yes, Name the facility where food is prepared:
37. Address of Facility where food is prepared:

    Street, City, State, Zip Code

39. Do you have an Employee Health Policy?*
    -- Select One --YesNo

    As of September 1st, 2012, the vendor/permit holder shall require all food service employees to comply with an approved Employee Health Policy.

    If you do not have an Employee Health Policy, one can be acquired at Applications & Forms | Craven County (cravencountync.gov)

43. Section 4: Water source and Waste disposal
45. Please check the box that best descrives the source of water for your food booth:*

    1. Public Water supplied by Organizer (Requires food grade hose and backflow preventer)
    2. On-site Private Well (Requires testing at least 15 days prior to event)
    3. Tap water supplied by applicant
    4. Bottled water supplied by applicant
    5. Other
46. If Other, please specify:
48. Check the following box(s) that best describe the disposal method for the following:
50. Garbage Disposal:*

    1. Waste can taken offsite
    2. Event Dumpster
    3. Other
51. If other, please specify:
52. Wastewater Disposal:*

    1. Event grey water bin
    2. Can wash facility
    3. Other
53. If other, please specify:
57. Section 5: Food Preparation & Equipment
59. Will ready-to-eat produce (vegetables or fruits) be prepared in your booth?*
    -- Select One --YesNo

    If yes, a prep sink is required.

61. Will you be using a separate vehicle for storage?*
    -- Select One --YesNo

    Examples: Freezer or refrigerator that is stored in a separate vehicle. Paper products that are stored elsewhere.

62. If Yes, please list the items stored in a separate vehicle below:
64. Check the Box(s) that best describes your equipment:
66. Cold Holding:*

    1. Refrigerated truck
    2. Commercial Fridge
    3. Freezer
    4. Other
67. If other, please specify:
68. Hot holding:*

    1. Chafing dishes
    2. Electric hot box
    3. Grill
    4. Other
69. If other, please specify:
71. Utensil Washing:*

    1. 3 Utility Sinks
    2. 3-Compartments
    3. 3 Basins
    4. Other
72. If other, please specify:
73. Handwashing Set Up:*

    1. Utility sink
    2. Gravity flow set up
    3. Other
74. If other, please specify:
76. Indicate the approximate distance & time you will travel to the festival site:*

    Example: 30 miles, 40 minutes

78. How will the food temepratures be maintained during transportation?*

    1. Ice-chests
    2. Mechanical Refrigeration
    3. Cambrio Units/ Hot holding Cabinets
    4. Other
79. If other, please specify:
83. Section 6: Menu Items
85. Provide a list below of all food/menu items and specify if the food is Prepped in Advanced or Prepared at the Event.

    Please include all add-on items such as lettuce, tomatoes, onions.

    Advanced Preparation- Includes cutting, seasoning, marinating, cooking, etc.

    Prepared at Event- Includes cutting, seasoning, marinating, cooking, etc.

87. Create a list below of the Menu Items and specify the source and if its prepared in advance or prepared at the event. *

    Food Item, Source of Food, Prepared in Advanced or Prepared at Event.

    Example 1: Hamburger, Smith's Market, Prepared in Advanced.

    Example 2: Tomatoes, Smith's Market, Prepared at Event.

89. Provide a drawing of the proposed set up.*
90. Additional Documents
91. Additional Documents
95. 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 approval 5 days prior to the day of the event.

    -A compliance check may be conducted at any time of operation.

    -All potentially hazardous foods (PHF) that I am serving must be maintained at approved temperature (41F or below for cold foods and 135F or above for hot foods) during transport, holding, and/or service.

    -Failure to maintain approved temperatures for PHF may result in disposal or embargo of the food.

    -Non-compliance may result in closure of the Temporary Food Establishment.

    I certify that I will comply with the requirements described by the CCHD Checklist for Temporary Food Establishment Vendors.

    CCHD Checklist can be found at: Applications & Forms | Craven County (cravencountync.gov)

    
    

97. Signature*

    Type in First and Last Name

98. Today's Date*
    Today's Date
100. Please Note:

     A fee of $75.00 will be required for each food service permit and must be paid within 2 business days of the submission of each TFE application. 

     Payments can be made in person at the Craven County Health Department (Environmental Health Section) or by phone at (252) 636-4936.

Leave This Blank:


102. 1. Receive an email copy of this form.
103. Email address

     This field is not part of the form submission.

104. Submit

* indicates a required field