I'm not sure how coarse 00050 is... although I this aesthetically it would be fine, live sand is fairly coarse. Weather it would match side by side.. I cant say, however if you were to add the live on top of the existing substrate, you would just end up covering it.
More of a concern would be if the fish only tank ever been treated with medications? I'd venture a guess that it has so that's something to think about. Medications particularly copper to treat ich would have an extremely negative affect on a reef aquarium.