English: The flag of Alamance County, North Carolina, was designed in 1973 by a County Employee on request from a local resident who got the idea from her teenaged son, who saw a new flagpole going up at a local miniature golf course. The design was approved by the county commissioners in May 1974, along with a request for flags to be printed. According to county historical records, it was the first County Flag in North Carolina.

According to the minutes of the commissioners meeting, the colors of the flag match the colors of the North Carolina State Flag. The flag has a field of blue having the county seal as the center emblem, and having the following charges in each quarter canton, beginning in the top-left and going clockwise: a book and spectacles representing education, an amphitheater representing drama, a plow with a bird representing agriculture, and a factory building representing industry.

Due to printing difficulties (most likely to save on printing costs), this version of the flag has never been printed. The commissioners approved an exception that would allow the flag to be printed in blue and white.

The actual printed flag came out differently than was approved by the commissioners. The version that was printed in 1974/75 (in time for the national bicentennial) and reprinted again in the early 1990's (in time for Alamance County's Sesquicentennial in 1994) had 2 major changes from the approved design. First - the flag was a much lighter blue than was approved (it does not match the blue in the North Carolina State Flag). Secondly, the factory in the bottom left canton was printed backwards. This reversal seems to be due to a decision to have the reverse side of the flag printed to mirror the charges on the obverse. The obverse factory was printed on the reverse side and vice-versa.