I hear ya about all the fifth wheels running down the road nose high! A lot of that has to do with truck manufacturers making taller trucks with deeper beds and RV manufacturers not keeping up. New stock trailers now have taller or adjustable gooseneck structures to compensate, why not friggin RVs?
I am about 1.5" high in the front of the RV with my old truck, so not enough to notice or make any difference.
Torque requirements depend on bolt size and grade. Either use your hitch manual or a bolt torque chart to determine.
I would think 7" of clearance should work fine for most normal towing situations. But when you get in a weird spot, just watch how close you are (or use a spotter) and then you can renegotiate instead of modifying your truck
__________________
Scott and Liz - Southern NM
2012 Wildcat Sterling 32RL - w/level up (best option ever)
2007 Chevy 2500HD Duramax
Reese Fifth Airborne Sidewinder