Good question, jedimaster1214!
Here's a quote from Ar81's Surface Tile Calculator readme.txt.
Example:
Lets say you want to put a tile on Costa Rica, longitude 84W, latitude 10N and you have a base called Heredia.cfg. Let's guess we want a level 3 tile.
-You type 84 in the longitude field and then press the W button.
-You type 10 in the latitude field and then you press N button.
-Select the desired tile level. In this case, level is 3.
-Press the "Calculate" button.
-Place the first line in your surface base CFG file. So you should add the following text at the end of the Heredia.cfg file...
BEGIN_SURFTILELIST
3 -957 114 1
END_SURFTILELIST
-Rename your DDS tile texture as indicated by the second line.
You need a texture named Earth_3_w0957_n0114.dds in the Textures directory, so it serves as base tile.
SURFACE TILE CALCULATOR V5.0a
-----------------------------
Made by José Pablo Luna Sánchez. 2006.
[ame="http://www.orbithangar.com/searchid.php?ID=2752"]Surface Tile calculator v5.0a[/ame]
So, to get your surface tile visible in Orbiter it needs an entry in the surface base .cfg file, and a .dds texture in the Textures or Textures2 directory. These have to be linked, and they are linked as Ar81 explains above.
As I understand it, the tiles have an origin at zero Latitude, and zero Longtitude, then start you start counting.
West and South are given negative values, East and North, positive values. They also have a value for how large they are.
Level 0 is the starting value, and goes up from there, largest I made are Level 9, most bases seem to have values between 6 and 9.
To look at ar81's example,
BEGIN_SURFTILELIST
3 -957 114 1
END_SURFTILELIST
This is a Level 3 tile, its -957, so its the 957th Westerly tile, and its 114, so its also the 114th Northerly tile.
You have to give this same info to the .dds texture, so its name is
Earth_3_w0957_n0114.dds
Note the "w", and "n" before the digits, I'm assuming this is because you can't put "-" in file names?
Hope this helps, N.