I’d guess it be similar to whatever options with vector charts that vendors like OceanGrafix offer now.
EDIT: I believe that this is how NOAA plans to do ENC based paper charts:
Future Paper Charts – NOAA will still promote the use of paper chart products based on ENC data, either through the NOAA Custom Chart web app, or through third-party commercial providers selling ENC-based chart products. The NOAA Custom Chart (NCC) is available online as a prototype that is in the early phases of development. Users may define the scale and paper size of custom-made nautical charts, with a centered position of their choosing. The NCC then creates a geospatially referenced Portable Document Format, with chart notes placed on a separate PDF page. Users may then download, view, and print the PDF. To try out the NCC prototype, go to NOAA Custom Chart.
Here is the site: