The first known burial in this cemetery, that of Thomas Clark, dates to 1851. He was buried on land that was public domain until 1857 when A. J. Laymance was awarded title to a tract of land of more than 292 acres. The Old Rock Hill Cemetery consists of nearly an acre of land and lies in the southeast corner of the Laymance survey. Many of the early settlers along the Horn Branch and the Kickapoo Creek watersheds are buried here. Martin Horn, for whom Horn Branch is named, and his wife Minda are buried here. Although there are 80 documented burials, several grave markers have become illegible. Among those buried here are John Lindsey, veteran of the War of 1812 and a Cherokee County commissioner, and Civil War veterans Hassell Chandler, John Boatman, and Jacob R. Laymance. The last burial to occur here was in 1913 upon the death of Era Tindel. When roads to this site became impassable during bad weather, a new cemetery was established nearby and named the New Rock Hill Cemetery. In 1983 the Old Rock Hill Cemetery was deeded to the Rock Hill Cemetery Association, which owns and maintains both sites.