 PA 69 parallels Jackson Run, which empties into Conewango Creek, and crosses it a few times while passing through a narrow valley between Dutch Hill to the north and Yankee Bush Hill to the south.The state highway briefly passes through Farmington Township before entering Sugar Grove Township.PA 69 passes through the unincorporated community of Chandlers Valley and by a pair of ponds at the headwaters of Jackson Run before meeting the eastern terminus of PA 27 (Matthews Run Road).