Manchester? Winthrop? Somewhere over there.
The DEM's metadata reveals the coodinate system is EPSG 32619 - WGS84 / UTM zone 19N - Projected.
This means the DEM is referenced against WGS84 datum. It is a projected coordinate system in Zone 19, Northern Hemisphere of the UTM grid and has units of meters.
To create your surface, go to Toolspace and create a new surface. For the surface definition, add your DEM. When browsing to your the DEM, change files of type to Geotiff. You don't need a world file for Geotiff. If the Geotiff was created (or clipped) correctly, the georeference will be built-in to the image itself and not be a spearate file.
There are two coordinate systems you are concerned with: (a) the native CS of the DEM itself and (b) the coordinate system you have already assigned to modelspace.
Your setup should look like image-1. Notice that while the DEM has a native CS of UTM-meters, modelspace has Maine State Plane West-feet. It's entirely OK for the DEM and modelspace to have differenct CS's b/c AutoCad will transform the DEM's coordinates to 'fit' your drawing environment. I'm guessing you want your drwing to be in feet and not meters.
Image-1.
If you create your surface correctly, you'll get this (image-2). If you have assigned State Plane CS to Maine NAD83, West Zone, feet, then you can draw in feet (not meters) while in modelspace.
Image-2.
The key to this exercise is to understand two coordinate systems are vital and the interplay of those coordinate systems on the DEM and on modelspace.
Note: If your DEM is a very big irregular shape and is giving you problems, a possible solution is to 'clip' the DEM to a square or rectangle. You can clip a little or clip a lot, it's up to you. Although AutoCad can work with irregular shaped DEMs, it doesn't always like them. It does better with squares or rectangles.
Chicagolooper
