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It's likely not sludge from below - just airborn debris that gets snared by the seams in the pavers and settles there. If the sand between the joints is polymeric (it'll be hard if it is), pressure washing at a very shallow angle would probably be OK. If it's just a regular joint sand, you'll probably wash out some of the sand as well and need to sweep some in.
As for the moss itself - I always love the look of moss growing on a paver patio because it gives the patio such a look of venerability. I always get a little sad when I hear someone wants to remove it. But to each their own, I suppose.
I wouldn't be inclined to assume that the patio was improperly installed without being able to see it in person myself. Moss growing on patios is a common thing, even with patios where polymeric sand was used between the joints. It's usually a product of extra shade and the unburned moisture that the shade causes. Get a little organic material in there (blowing bits of dirt and dust, grass clippings, etc) and you have a great spot for moss.
I know you said you sunbathe on the patio, but even so, being between two structures I might still think it's the shade, unless your patio gets full southern exposure.
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