From the App Engine documentation:
A backend instance can be targeted with HTTP requests to
http://[instance]-dot-[backend_name]-dot-[your_app_id].appspot.com,
or at your application's custom domain.
So you can use whatever domain is configured for your app. _ah/start is a way to start the backend, i.e. a simple request sent to:
backend1-dot-myapp.appspot.com/_ah/start
will start the backend. You don't have to do it - you can send any request to a backend, and the App Engine will start it for you if no instances are running.