Hi!
This mod is part of a rewrite of the surfaces mod. I think it mostly works, but I never really finished it. The main thing that's missing are proper graphics.
The main mod is here: https://mods.factorio.com/mod/Surfaces_API
The description contains information about how to install the mod. The reason you can't find any ladders is that you are missing the mod that adds transportation entities, and you don't have a "configuration mod" that configures the surfaces. To get started, you can download one of the configuration mods mentioned in the description of the main mod, which will download all dependencies as well.
The reason why I split the mod into several smaller mods and configuration mods is that it would allow you to add your own surface generation mods and then use different generation mods together. For example, you could have different world generation on surfaces below level 10.
One of the main reasons I stopped updating these mods is that the factorio engine isn't really designed for having multiple surfaces with distinct world generation.
Maybe factorio 2.0 and/or Space Age will improve the situation, and maybe that will motivate me to continue development?