Plan Review Application - Camden Coutny, New Jersey
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1PLAN REVIEW APPLICATION
N.J.A.C. 8:24-9.1 requires that a food establishment submit plans and specifications prior to the construction change of use
or remodeling of a facility. The following information must be provided before we can process and review your plans.
(Note: A Retail Food Facility Permit Application Must Be Submitted With All Plan Review Applications)
Completed Plan Review Application
One set of drawings (done to scale). Include
equipment and plumbing specifications.
Intended menu and anticipated volume of food
Check or Money Order payable to: Camden
to be stored, prepared, sold or served.
County Treasurer
Layout, construction/finish schedules
FEE SCHEDULE
Risk Type 1: Limited handling of commercially
$ 75
Submit completed application to:
packaged and processed foods.
Camden County Dept. of Health
DiPiero Center
Risk Type 2: Cook/serve operations; hot and cold
$ 125
512 Lakeland Rd. Suite 301
holding after prep; limited cooling and reheating.
Blackwood, NJ 08012
Risk Type 3: extensive menu including highly
$ 200
susceptible population i.e. diners, restaurants, hospitals,
preschools, nursing homes.
Establishment classification will be determined by this office based on the menu and food preparation procedures
submitted.
Owner/Franchisee __________________________________
Name of Facility__________________________
Address __________________________________________
Address _________________________________
Mun. __________________________________Zip________
Mun ___________________________Zip_______
Telephone (
)___________________________________
Telephone (
)_________________________
Fax # (
) ____________________________________
CHECK ONE: Public water
YES
NO
Email: _________________________________________
Public sewage
YES
NO
Projected date of opening: ___________________________
Plans will be processed within 30 days of submission with the understanding that all the information requested on this
application is provided and the Plan Review Fee is paid.
Office Use Only
Date Received_________________
Fee Paid/Check #_____________
Date Entered ______________
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