Yes,
Uncheck the MS Wavetable Output and CHECK the Focusrite MIDI Output. That way the MIDI out of the Focusrite will trigger your external stuff. Since you have an actual audio interface, you don't need any Windows based audio sources.
I suspect its just track I/O settings. I get a delayed echo kind of sound when I turn on echo for a track and have the audio input selected at the same time. It's just that you're monitoring the actual speaker output at the same time as the input, and there's slight delay between the two.
Your reported latency numbers from Sonar look really good by the way. Mine are much higher and everything sounds great.