 The state highway enters the town shortly before reaching its eastern terminus at its intersection with SR 68 (Exeter Road), which itself reaches its terminus at U.S. Route 23 Business (Main Street) at the southern edge of downtown Appalachia.SR 160 was initially numbered State Route 115 in the 1923 renumbering as a spur from State Route 11 in Appalachia.This road, known as the Lynch Highway (as it led to Lynch, Kentucky), was added to the state highway system in early 1923.