I saw this antique pouch at a flea market recently in Fishersville, Va. The dealer said it was from the area. I can't date it, but I am making an assumption around 1800 to 1850 just on the small size of the attached horn. Its a double pouch made of four pieces of leather; front, back, front flap, and center. The center is folded over to form the double pouch, with the front, back, and flap sewn on. The pouch is about 7 inches square.
