Local permits & fees

Alamance County, NC Food Facility Permits & Fees

Restaurants and food trucks.

Alamance County Environmental Health (Food, Lodging & Institutions) · department site →

Fees change often — always confirm the current amount with the department before you budget.

Alamance County food-facility health permits run about $120 annually. Plan review runs about $250. Confirm the exact amount with Alamance County Environmental Health (Food, Lodging & Institutions) before you budget.

Confirm the authority for your exact address. Some cities run their own health division, and building, planning, fire, sewer/grease and business-license approvals are separate even when Alamance County Environmental Health (Food, Lodging & Institutions) issues the health permit.

About 343 food & drinking establishments operate here, serving a population of about 179,165. (U.S. Census 2023 estimate; County Business Patterns 2022, NAICS 722)

Last verified: 2026-08-18 — we re-confirmed the serving authority, its contact, and that the fees below match the current published schedule. Fee schedules may carry an earlier effective date (shown per fee); local ordinances & amendments aren’t individually reviewed, so confirm current rules with the authority having jurisdiction.See something out of date? Report an update →

Restaurant / food-facility permit

Food Service Establishment Permit

$120/year (state permit fee)

Per NC GS 130A-248(d) the state (NC DHHS) charges each food service establishment a $120 annual permit fee (state-set, uniform across NC counties); county Environmental Health issues and inspects; Alamance's own fee schedule (eff; 7/1/2024) confirms Temporary Food Establishment $75 and Limited Food Service Establishment $75 (GS 130A-248(d2))

Plan review — required

$250 (Restaurant Plan Review)

Reach the department

Phone(336) 570-6367

Office209 N Graham-Hopedale Rd, Burlington, NC 27217-2971

Websiteeh.alamancecountync.gov →

Inspection grading

How inspection results are scored/posted here is pending verification — ask the department.

Food truck / mobile permit

Mobile Food Unit / Pushcart

$120/year (state permit fee)

Mobile food units are food establishments subject to the $120/yr state permit fee (GS 130A-248(d)); a $250 plan review applies to new/remodeled food service areas

How to apply

See the department site above.

Fees/payment and forms are on the department site; application steps vary by concept — see the checklist below.

How Alamance County’s permit cost compares

At about $120/year, Alamance County’s restaurant health permit is above the North Carolina median ($70) and below the U.S. median ($125) — higher than about 47% of U.S. counties.

Ranked 80th-lowest of 95 North Carolina counties by permit cost.

Comparison uses the lowest published annual restaurant-permit figure in each county; confirm your exact tier with the department.

Local food-service market

About 343 food & drinking establishments serve ~179,165 residents in Alamance County — one per ~522 residents, denser than the North Carolina average (one per ~598).

U.S. Census 2023 population; County Business Patterns 2022 (NAICS 722).

Budget the permit stack

Start with ~$120 annual health permit + $250 plan review.

Plus building, fire, and business-license fees that vary locally — use the cost calculators and the checklist below to budget the full stack.

Equipment your Alamance County plan review will check

Health-department plan review looks for specific, code-compliant fixtures. Compare spec-filtered options, then confirm counts and sizes with your local requirements. See the full list in what equipment a commercial kitchen requires.

Compartment sinks

3-bay wash / rinse / sanitize — sized to your menu

Hand sinks

required in prep, cook & warewashing areas

Grease traps / interceptors

sized by drainage fixture units

Reach-in refrigeration

cold-holding at 41°F or below

Work tables & surfaces

NSF-listed, non-absorbent

Hoods & ventilation

over cooking equipment; make-up air

Dishwashers

high-temp or chemical sanitizing

Nearby counties

Permit costs and rules change at the county line — compare Alamance County with its neighbors.

Caswell County, NC

Restaurant permit: $70

Chatham County, NC

Restaurant permit: $70

Guilford County, NC

Restaurant permit: See page

Orange County, NC

Restaurant permit: $120

Randolph County, NC

Restaurant permit: $120

Rockingham County, NC

Restaurant permit: $70

How to open: typical permitting sequence

This is a typical sequence — confirm the exact sequence with your authority having jurisdiction.

Confirm whether Alamance County or another local jurisdiction (city/district) handles your exact address.
Confirm zoning and permitted use.
Prepare your menu and scaled plans.
Include an equipment schedule with ANSI/NSF spec sheets.
Submit water-heater and hood documentation.
Pay plan-review fees.
Respond to plan-check corrections.
Obtain Environmental Health plan approval.
Obtain building, plumbing, mechanical and fire approvals.
Schedule rough-plumbing, pre-final and final health inspections.
Pay the operating-permit / application fees.
Receive approval before storing or preparing food.

Frequently asked questions

How much is a food permit in Alamance County?

$120/year (state permit fee) These are annual health-permit fees, usually tiered by seating or size; confirm your exact category with the department.

Is plan review required in Alamance County?

Yes — plan review is required before you build or remodel a food facility. Typical fees: $250 (Restaurant Plan Review)

Do I need a commissary for a food truck in Alamance County?

In most cases, yes — most mobile units must operate from an approved commissary; confirm exemptions with the department. Mobile food units are food establishments subject to the $120/yr state permit fee (GS 130A-248(d)); a $250 plan review applies to new/remodeled food service areas

Who issues food permits in Alamance County?

Food permits here are issued by Alamance County Environmental Health (Food, Lodging & Institutions). See the department site for current details.

Are city building and fire approvals separate?

Yes — building, plumbing, mechanical and fire approvals are always separate from the health permit and are often handled by different offices.

North Carolina statewide rules

Who licenses you, reciprocity, and the state regime.

What equipment you need

Build a tailored equipment checklist for your concept.

Permits & plan review, explained

The stack of approvals before you open.

Sources: eh.alamancecountync.gov · eh.alamancecountync.gov · www.ncleg.gov · observed 2026-08-21