The T stands for top. If you look at the M5 RAS you'll see that it also is marked with L, R, and B number prefixes. Since you now know what T designates, the meaning of the other three should be obvious
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Seriously, the mounting positions for the large array of military add-on equipment found, for example, in the SOPMOD kits will vary with the specifics of the mission. The alpha-numeric designators provide the operator with a suggested mounting position. For example - where to mount the AN/PVS-17A, AN/PEQ-5, AN/PEQ-2, and VIL possibly all at the same time.
While the "T marks" may look cool and many of us want them just for that reason, they really do have a very good reason for their use in the military.
BTW - those of you that scoff at switching optics should try switching between an ACOG and a Comp M on an M4 style carbine. Great when you're changing from close to longer range targets, and you won't lose enough zero to speak of.