Nerd out time!
Let me put my airport compatibility engineer hat on for a minute, since this incident made me go dig up some old manuals from a previous career. That note, and the TCH in general, can be very sneaky. The FAA has a Joint Order (6850.2B if you're curious) that specifies the minimum TCH for the PAPI approach path based on the eye-to-wheel height category of the aircraft, with applicable tolerances.
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What this means practically is if you're flying a widebody or a 757 and see a TCH or a "VGSI not Coincident. VGSI TCH" of 59ft or less, your spidey senses should be going off, because you have much less margin than you think you do. In fact it's a giveaway that the approach is designed for small narrowbodies as the critical aircraft, so your operation is an outlier. At 50ft TCH on a 757/767 you'd only have 20ft of wheel clearance on path, and only 18ft on a 767-400.
On 29 in EWR it's right at 60ft, the lower limit for widebody operations. The -400 has 28ft of clearance on two reds and two whites.
Internationally it's a bit more tricky to calculate because in ICAO land, the Annex 14 recommendation is in terms of wheel clearance margin instead of TCH
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But if we do the math backwards it ends up recommending the upper tolerance of the FAA brackets. So on my 757 it ends up being the same: 59ft TCH or less and I pay a lot closer attention.