A combination control and check valve assembly for a wet piping system includes a control valve in the form of a ball valve and a one-way check valve mounted within the flow pathway of the ball valve. A valve actuation assembly is mounted to the valve assembly to selectively rotate the ball valve between the open and closed positions thereof. The valve actuation assembly is mounted to a first side of the valve assembly and rotationally fixed to the ball, whereby rotation of the valve actuation assembly rotates the ball between the open and closed positions. A side opening is formed in a second side of the valve assembly that is angularly spaced from the first side. The side opening is positioned to align with the fluid flow pathway of the ball valve in the closed position thereof to provide access to the check valve.