> See result here: http://b.imagehost.org/0738/Chad.jpg
>
> Could this be my issue?
So it seems your rendering is fine but your database is messed up. It
may be worth trying with some small data extract [1] and juggling with
osm2pgsql and createdb arguments.
Peter
[1] <http://download.geofabrik.de/osm/>
<http://downloads.cloudmade.com/>