It is a challenging subject to realize nitrogen and phosphorus elimination synchronously from limited-carbon sewage through conventional biological processes. Herein, a novel continuous flow anaerobic/oxic/anoxic/oxic (AOA-O) process, which integrated denitrifying dephosphatation, endogenous denitrification and anammox in the anoxic zone, was developed to enhance nutrient elimination from low carbon/nitrogen sewage (3.4 in average). After the long-term operation (280 days), a satisfactory nutrient removal performance (effluent PO43--P: 0.2 mg P/L, total inorganic nitrogen (TIN):8.9 mg N/L) was obtained. Mass balance indicated that anammox contributed to 26.1% TIN removal and denitrifying dephosphatation contributed to 25.6% phosphorus removal, respectively. The cooperation of anammox bacteria retained in biofilms and endogenous denitrifying bacteria in flocculent sludge was responsible for the enhanced nutrient removal in the anoxic zone. Dechloromonas carried out phosphorus uptake both under oxic conditions and anoxic conditions. This study can broaden the application prospect of mainstream anammox.
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